Opportunities in the Affordable Care Act to Advance Long-Term Services and Supports: The Role of Rehabilitation Counseling

2012 ◽  
Vol 26 (1) ◽  
pp. 55-66
Author(s):  
Joe Caldwell ◽  
Reginald J. Alston
Keyword(s):  
Affordable Care Act ◽  
Rehabilitation Counseling ◽  
The Affordable Care Act ◽  
Services And Supports

Opportunities in the Affordable Care Act to Advance Long-Term Services and Supports: The Role of Rehabilitation Counseling

2012 ◽  
Vol 26 (1) ◽  
pp. 55-66
Author(s):  
Caldwell Joe ◽  
J. Alston Reginald
Keyword(s):  
Affordable Care Act ◽  
Rehabilitation Counseling ◽  
Rehabilitation Counselors ◽  
Term Care ◽  
Persons With Disabilities ◽  
Long Term Care Insurance ◽  
The Affordable Care Act ◽  
Services And Supports

The Affordable Care Act includes many new provisions for long-term services and supports (LTSS). Among these are several new options, improvements, and incentives within Medicaid to balance service systems and expand access to home and community-based services. In addition, the Affordable Care Act authorizes the establishment of a new voluntary national long-term care insurance program, the Community Living Assistance Services and Supports (CLASS) Program. This article discusses some of the major provisions and implementation. It also examines how the major principles of rehabilitation counseling are central to advancing LTSS policy and how rehabilitation counselors can play a key role in ensuring quality LTSS services for persons with disabilities.

scholarly journals Financing Long-Term Services and Supports: Opportunities for Overcoming Historical Roadblocks to Reform

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 717-717
Author(s):  
Edward Miller ◽  
Pamela Nadash ◽  
Marc Cohen
Keyword(s):  
Affordable Care Act ◽  
Policy Development ◽  
State Level ◽  
Government Action ◽  
Policy Window ◽  
Adoption And Implementation ◽  
Opportunities For Learning ◽  
State Budgets ◽  
Services And Supports

Abstract This presentation documents the continuing failure to tackle the problem of financing long-term services and supports (LTSS)—a failure most recently seen in the only national legislation ever enacted to comprehensively address LTSS costs: the Community Living Assistance Services and Supports (CLASS) Act. The CLASS Act was included in the Affordable Care Act, but was repealed in 2013. Subsequently, policy experts and some Democrats have made proposals for addressing the LTSS financing crisis. Moreover, significant government action is taking place at the state level, both to relieve financial and emotional burdens on LTSS recipients and their families and to ease pressure on state budgets. Lessons from these initiatives could serve as opportunities for learning how to overcome roadblocks to successful policy development, adoption, and implementation across states and for traversing the policy and political tradeoffs should a policy window open once again for addressing the problem of LTSS financing nationally.

Access to care issues and the role of EDs in the wake of the Affordable Care Act

2015 ◽  
Vol 33 (2) ◽  
pp. 181-185 ◽  
Author(s):  
Alexander T. Janke ◽  
Aaron M. Brody ◽  
Daniel L. Overbeek ◽  
Justin C. Bedford ◽  
Robert D. Welch ◽  
...  
Keyword(s):  
Access To Care ◽  
Affordable Care Act ◽  
The Affordable Care Act

Not Such a CLASS Act: America’s Long-Term Care Problem

The Forum ◽  
2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Robert P. Saldin
Keyword(s):  
Affordable Care Act ◽  
Long Term Care ◽  
Policy Area ◽  
Term Care ◽  
Obama Administration ◽  
The Us ◽  
The Affordable Care Act ◽  
Primary Payer

AbstractLong-term care is a serious but largely unrecognized problem in the US. The CLASS Act was a new program embedded within the Affordable Care Act that was supposed to bring relief to disabled individuals and Medicaid, the primary payer for long-term care. However, the program had an unworkable design, and it was eventually abandoned by the Obama administration. CLASS’ flaws were largely the product of a policy area in which ignorance and misinformation render any effective and fiscally sound program politically unfeasible. As such, the rise and fall of the CLASS Act highlights the profound challenges facing any attempt to pass serious long-term care reform and underscores the need to raise awareness of America’s long-term care challenge.

The effect of the Affordable Care Act on Medicaid payments in long-term care facilities

2020 ◽  
pp. 1-8
Author(s):  
Victoria Walker ◽  
Morgan Ruley ◽  
Laikyn Nelson ◽  
Whitney Layton ◽  
Alberto Coustasse
Keyword(s):  
Affordable Care Act ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
The Affordable Care Act

Psychological and Emotional Recovery to Severe Burn Injury

2002 ◽  
Vol 33 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Kristy L. McNulty
Keyword(s):  
Burn Injury ◽  
Rehabilitation Counseling ◽  
Adult Survivors ◽  
Severe Burn ◽  
Rehabilitation Counselor ◽  
Counseling Interventions ◽  
Emotional Recovery ◽  
Acute Rehabilitation

Burn trauma is not only physically painful, but the experience of sustaining a severe burn, dealing with a lengthy hospital stay, and being faced with long-term consequences can be emotionally devastating. This paper describes common reactions to critical injury within the acute and post-acute rehabilitation phases, and reviews the psychologic adjustment of both pediatric and adult survivors. Rehabilitation counseling interventions focus on building a convoy of social support, coping with pain and incapacitation, fostering a positive self-concept and body image, and promoting overall acceptance of the disability. The role of the rehabilitation counselor in assessing vocational potential is also discussed.

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